Individual provider Active NPI

Nicholas Nicolet, LCMHC

  • Mental Health Counselor
  • Berlin, VT
National Provider Identifier
1336667476
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0080943 Issued in VT
Practice address
174 Hospital Loop
Berlin, VT 05602-9105
Phone
(802) 479-4083
Fax
(802) 476-1476
NPI assigned
Sep 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0080943 VT Primary

Addresses

Primary practice location

174 Hospital Loop
Berlin, VT 05602-9105

Mailing address

PO Box 647
Montpelier, VT 05601-0647
Phone (802) 229-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109000333 VT Practitioner - Mental Health Counselor 0840641460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

174 Hospital Loop
Berlin, VT 05602-9105
Phone (802) 479-4083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. Mental Health Current Accepting new patients
Washington County Mental Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

23 Summer St
Barre, VT 05641
Phone (802) 479-4055

174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1336667476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-229-1399",
            "fax_number": "802-223-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-476-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLET",
        "first_name": "NICHOLAS",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0080943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.